JACINTA CATHERINE EICKHOLT (M.D.) – Family Medicine Physician, NPI 1356500805
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,432 FAMILY PRACTICE in OH
Provider Addresses for JACINTA CATHERINE EICKHOLT (M.D.)
601 U. S. 224
SUITE 2
GLANDORF, OH 45848
Phone: (419) 538-7330
Fax: (419) 538-7331
Type: Location
3224 JARVIS RD
LIMA, OH 458072213
Phone: (419) 996-5757
Fax: (419) 996-5913
Type: Location
Boom Box Buns, 1324, Main Street, Main Street Business District, Over-the-Rhine, Cincinnati, Hamilton County, Ohio, 45202, United States
CINCINNATI, OH 452630001
Phone: (513) 981-5123
Fax: (513) 981-5015
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2012-11-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20121105000497 | I | Family Practice | OH | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 158 | 54 | $0 |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 117 | 64 | $0 |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 101 | 78 | $0 |
| 99497 | Advance care planning, first 30 minutes | 42 | 38 | $0 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 30 | 21 | $0 |
Insurance plans in this area (ZIP 45848)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | OH | 90670 | Pneumococcal vaccine for injection into muscle | 35 | 35 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Rheumatology, Internal Medicine | OH | |
| Sleep Medicine | OH | |
| Nurse Practitioner | OH | |
| Hematology/Oncology, Internal Medicine | OH | |
| N E U R O L O G Y | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Radiation Oncology | NY | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology) | MO | |
| Nurse Practitioner | OH |
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